Dolly Parton Imagination Library Registration Form

East Leeds Imagination Library Enrolment Form

The East Leeds Imagination Library is currently available to families living in specific postcode areas within East Leeds

Please complete all sections of the form

Child's Full Name

Child's date of birth

Parent / Carer Full Name

First Line of Address

Postcode

Parent / Carer Email

Parent / Carer Phone Number

What is your Housing Status

Which Housing Association?

Please state which

What Language(s) is/are spoken in the home?

How did you hear about the East Leeds Imagination Library?

Please state which

Your data | Any Personal Information you provide to Community Learning Partnerships will be processed in accordance with current UK GDPR/DPA regulations.

I hereby explicitly consent to allow CLP to use the information provided for the purpose of enrolment onto the East Leeds Imagination Library and understand that the information may also be used to create datasets for monitoring and evaluation purposes.

I understand that Community Learning Partnerships may contact me about the Imagination Library. This may be by post, phone or email. I understand that I can withdraw or amend my consent to the above at any time by contacting Community Learning Partnerships on 0113 824 5414 or by email to ilbooks@learningpartnerships.org.uk

I hereby explicitly consent to allow Dollywood Foundation Inc (based in the USA) to use the information provided herein for the purposes of participating in Dolly Parton’s Imagination Library book gifting programme. To measure the benefits of this programme, they may create datasets with the information provided herein and share them with research and educational advancement partners. By checking the box and continuing this registration you expressly consent to the terms set forth herein.

Parent / Carer Signature

East Leeds Imagination Library Enrolment Form

The East Leeds Imagination Library is currently available to families living in specific postcode areas within East LeedsPlease complete all sections of the form

The East Leeds Imagination Library is currently available to families living in specific postcode areas within East Leeds

Please complete all sections of the form